School of Human Sciences (Exercise and Sport Science), University of Western Australia, Crawley, Perth, Western Australia, 6009, Australia; HFRC Rehabilitation Clinic, 117 Stirling Highway, Nedlands, Western Australia, 6009, Australia.
UCRISE, Faculty of Health, University of Canberra, ACT, 2617, Australia.
Musculoskelet Sci Pract. 2019 Oct;43:1-5. doi: 10.1016/j.msksp.2019.05.005. Epub 2019 May 18.
A lack of consensus exists on which patient-reported outcome measures (PROMs) best evaluate change following hip abductor tendon (HAT) repair.
To compare the responsiveness of the Victorian Institute for Sport Assessment for Gluteal Tendinopathy (VISA-G), Oxford Hip (OHS) and modified Harris Hip (mHHS) scores in patients undergoing HAT repair.
Prospective case series.
56 patients underwent HAT repair and were evaluated pre-surgery and 3, 6 and 12 months post-operatively using the VISA-G, OHS, mHHS and a Global Rating of Change (GRC) scale. Internal and external responsiveness, the minimal clinically important change (MIC) and the presence of ceiling effects were evaluated. The extent to which VISA-G change was associated with mHHS and OHS change was investigated, as was the extent to which PROM changes were discriminatory for GRC improvement.
All PROMs demonstrated large standardized effect sizes (>1), with the VISA-G demonstrating responsiveness similar to the mHHS and OHS. At 12 months, the GRC correlated similarly with VISA-G (0.42, 95% CI: 0.17-0.61), mHHS (0.44, 95% CI: 0.17-0.61) and OHS (0.53, 95% CI: 0.31-0.70) changes. Using a GRC anchor of ≥4, an MIC of 29/100, 29/91 (32/100) and 16/48 (33/100) was observed for the VISA-G, mHHS and OHS, respectively. At 12 months ceiling effects existed for the mHHS (18/56, 32.1%) and OHS (13/56, 23.2%), but not VISA-G (1/56, 1.8%).
The VISA-G demonstrated acceptable responsiveness and was more resistant to ceiling effects, though demonstrated similar change scores and correlations with perceived improvement to the mHHS and OHS.
This research trial is registered in the Australian New Zealand Clinical Trials Registry (ACTRN12616001655437).
在评估髋关节外展肌腱 (HAT) 修复后患者的变化时，哪种患者报告结局测量 (PROM) 最佳存在共识缺失。
比较维多利亚州运动评估臀肌腱病 (VISA-G)、牛津髋关节评分 (OHS) 和改良 Harris 髋关节评分 (mHHS) 在接受 HAT 修复的患者中的反应能力。
前瞻性病例系列。
56 例患者接受 HAT 修复，并在术前和术后 3、6 和 12 个月使用 VISA-G、OHS、mHHS 和整体变化评分 (GRC) 量表进行评估。评估了内部和外部反应能力、最小临床重要变化 (MIC) 和天花板效应的存在。还研究了 VISA-G 变化与 mHHS 和 OHS 变化的关联程度，以及 PROM 变化对 GRC 改善的区分程度。
所有 PROM 均显示出较大的标准化效应量 (>1)，VISA-G 的反应能力与 mHHS 和 OHS 相似。在 12 个月时，GRC 与 VISA-G(0.42，95%CI：0.17-0.61)、mHHS(0.44，95%CI：0.17-0.61)和 OHS(0.53，95%CI：0.31-0.70)变化的相关性相似。使用 GRC 锚点≥4，VISA-G、mHHS 和 OHS 的 MIC 分别为 29/100、29/91(32/100)和 16/48(33/100)。在 12 个月时，mHHS(18/56，32.1%)和 OHS(13/56，23.2%)存在天花板效应，但 VISA-G(1/56，1.8%)没有。
VISA-G 表现出可接受的反应能力，且对天花板效应的抵抗力更强，尽管其显示出与 mHHS 和 OHS 相似的变化评分和与感知改善的相关性。
本研究在澳大利亚和新西兰临床试验注册中心 (ACTRN12616001655437) 注册。
